NO.101 The causes of systemic secondary insult to injured brain include all of the following except:

NO.102 An old man undergoing planned brain surgery. He is on aspirin.
What is most appropriate recommendation for him prior to surgery?

NO.103 A 75-yearold man has been attending the clinic for lower urinary tract symptoms. His mood is very low and he is unhappy, anxious and unable to sleep. He has been diagnosed with moderate depression.
What treatment would you use for this patient?

NO.104 33-year-old female complains of diplopia on upright gaze. Exam: ptosis can be seen. There are no other co significant Past medical history.
What is the most appropriate test for him?

NO.105 A 65-year-old man with longstanding diabetes comes to the office with a “pins and needles” sensation in both his feet. He is also chronically bloated and constipated. On review of systems, you find he cannot maintain erection sufficiently to complete intercourse. Urinalysis shows microalbuminuria. His LDL is 147.
What is the best management for this patient?

NO.106 Fluoxetine half-life after acute administration is ______________________________

NO.107 A 47-year old man comes to the emergency department with fever, headache, photophobia, and a stiff neck.
What is the next best step in the management of this patient?

NO.108 Patient works in a dusty environment had red eyes itching no trauma no mucopurulent discharge.
What to give to relieve his symptoms?

NO.109 A 41-year-old woman awoke from a nap with severe pain in her index finger and found it to be flexed while all other fingers were extended. When she tried to pull it free she heard a loud popping sound and the pain subsided. The following day she comes to her doctor’s office concerned about the sound and pain.
What is the most appropriate next stop in the management of this patient?

NO.110 The drug of choice in the treatment of Oxyrus worm is?

NO.111 A 43-years-old man is brought to the emergency department after a motor vehicle accident involving ahead He mentioned that he is having headache and dizziness. During his overnight admission for observation, his serum sodium level rises to 151 meq/L.
All of the following tests are indicated EXCEPT:

NO.112 7-year-old boy with red color urine.
Which initial test is necessary?

NO.113 A 64 year’s man believes a female newscaster is communicating directly with him when she turns a page.
Where is he suffering from?

NO.114 Patient smoker and alcoholic come with difficulty in swallowing and neck mas.
What is an investigation?

NO.115 Patient with swollen ankles, rales on chest auscultation, protrusion of abdomen, dyspnea. O/E: CVS: No murmurs, JVP shows X, V and Y descent.
What is the most likely diagnosis?

NO.116 A 55-year-old man has epigastric discomfort. He is seropositive for Helicobacter pylori. Upper endoscopy reveals no gastritis and no ulcer disease. Biopsy of the stomach shows Helicobacter.
What should you do?

NO.117 A 26-year-old male has been operated for abdominal trauma and splenectomy was done. On the 3rd post-op day the developed acute abdominal pain and distention in the upper abdominal area with hypotension. On insertion of ryle’s tubes, 2L of coffee ground fluid was aspirated.
What is the most probable diagnosis?

NO.118 Patient with normal pressure hydrocephalus. CT brain picture distended ventricles.
What is initial treatment?

NO.119 An asymptomatic 56years man who has never consumed alcohol came for a routine checkup. Exam: increase spider angioma, Cardiomegaly, S3 gallop, liver firm with 8cm span, no ascites.
He is in the risk of which condition?

NO.120 A 31-year-old woman presents to the ED with a sudden onset of left-sided chest pain and difficulty breathing. She states her only medication is birth control pills. She has smoked 1 pack of cigarettes per day for 10 years. She is tachypneic (24 BrPM) and her heart rate is 120 beats per minute. Physical examination reveals diminished breath sounds on the left and the trachea deviated to the right.
What is the most likely diagnosis?

NO.121 A patient with gross hematuria after blunt abdominal trauma has a normal appearing cystogram after the intravesical instillation of 400 ml of contrast. You should next order:

NO.122 A 15-year-old boy presented with generalized edema. His urinalysis reveals protein +++, eGFR-110.
What is most likely diagnosis?